Individual provider · Type 1 NPI

Casey Watson

Student in an Organized Health Care Education/Training Program · Waldorf, MD

NPI number 1629613112 Active

Practice location

11325 Pembrooke Sq
Waldorf, MD 20603-4807

Call (301) 719-1146 Map

Mailing address

16210 Livingston Rd
Accokeek, MD 20607-2249

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629613112

Casey Watson's National Provider Identifier is 1629613112, issued on Nov 8, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Waldorf, MD. The record was last updated on Nov 8, 2019.